Active NPI
Kira Santos, D.M.D.
- Endodontics
- Gainesville, FL
National Provider Identifier
1700239076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN21952
- Practice address
- 3705 SW 27TH St
Apt 411
Gainesville, FL 32608-7027 - Phone
- (954) 756-0513
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN21952 | FL | Primary |
Addresses
Primary practice location
3705 SW 27TH St
Apt 411
Gainesville, FL 32608-7027
Mailing address
3705 SW 27TH St
Apt 411
Gainesville, FL 32608-7027
Phone (954) 756-0513
Other names 1
- Kira Santos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 15, 2024 through Jul 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21952 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1700239076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 SW 27TH ST",
"address_2": "APT 411",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087027",
"telephone_number": "954-756-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 SW 27TH ST",
"address_2": "APT 411",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087027",
"telephone_number": "954-756-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "KIRA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN21952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRA",
"last_name": "SANTOS",
"credential": "D.M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.